Past, present and future of arterial endofibrosis in athletes: a point of view

Sports Medicine
Pierre AbrahamJean-Louis Saumet

Abstract

Exercise-induced arterial endofibrosis (EIAE) is now a 20-year-old concept. Initially observed in highly trained cyclists, it has been found in many other male and female endurance athletes. Most stenoses are located on the first centimetres of the external iliac artery but other localisation may be found. The disease is defined by specific histological findings showing fibrosis of the intimal and medial wall of the artery. Ankle pressure measurement plays a key role in the diagnosis of EIAE provided that the exercise tests reproduce symptoms and are performed with the subject being highly trained, and that pressure measurements are performed early following exercise. Various cut-off values have been proposed in the literature. Magnetic resonance imaging or arteriography or ultrasound imaging should be performed by trained operators only. Surgical 'endofibrosectomy' is preferable in young cyclists generally associated with a saphenous enlargement patch. We do not recommend angioplasty. Athletes are generally allowed to return to competition within 3-4 months following surgery. Many unanswered questions remain, specifically about the pathophysiology of this disease. Mechanical and pressure strain play a central role in the devel...Continue Reading

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Citations

Nov 30, 2005·Topics in Magnetic Resonance Imaging : TMRI·Tim Leiner
Jul 30, 2009·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Antoine BruneauPierre Abraham
Oct 25, 2011·AJR. American Journal of Roentgenology·Lucia FlorsKlaus D Hagspiel
Jun 24, 2014·Radiology·Olivier RouvièreJean-Michel Chevalier
Mar 14, 2014·Physiotherapy Theory and Practice·Judy K ClifftCasey B Malone
May 12, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C S LimA H Davies
Sep 18, 2010·The American Journal of Sports Medicine·Benjamin ClarsenRoald Bahr
Jun 3, 2018·Scandinavian Journal of Medicine & Science in Sports·R GodetS Henni
Dec 19, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Sathish RajasekaranJonathan T Finnoff
Nov 11, 2006·Medicine and Science in Sports and Exercise·Alexis Le FaucheurPierre Abraham
Nov 12, 2010·Current Sports Medicine Reports·Andrew R Getzin, Marc Richard Silberman
Aug 15, 2014·American Journal of Physical Medicine & Rehabilitation·Dina Christina Janse van RensburgCatharina Cornelia Grant

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